Digital Signatures Schemes Usage as a Technical Method for Authenticity and Non-Repudiation on Remote Medical Reports at a PACS environment.
dicom, digital signatures, remote medial reports, pacs, picture archive communications system
Paper documents are being replace in different areas every day and, for any activity that requires authenticity, these new digital forms need to assure the same guaranties as the physical document does, i.e., authorship, authenticity, chronological evidence and integrity. In this research we analyze a viable use of available technologies to solve this evidenced issue. In medical reports for image exams, the use of a Picture Archive Communications System (PACS) allow the medical reports to be emitted remotely but it alone does not guarantee any of the security measurements for non-repudiation. The results presented in this work were obtained from an Integrative Literature Review and make evidence that the digital signatures model, based on asymmetric cryptography, help solve this issue when a solution implementation does not change the installed DICOM/PACS environment and makes it possible for an easy emitter check without the possibility of repudiation, within the local legislation.